| Recovery In The Pines | |
|
919 12th Pl Ste 13 Prescott AZ 86305-1433 | |
| (928) 830-3124 | |
| (928) 227-2968 |
| Full Name | Recovery In The Pines |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 919 12th Pl Ste 13, Prescott, Arizona |
| Authorized Official Name and Position | Albert Black (OWNER) |
| Authorized Official Contact | 9283084311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery In The Pines 919 12th Pl Ste 13 Prescott AZ 86305-1433 Ph: (928) 830-3124 | Recovery In The Pines 919 12th Pl Ste 13 Prescott AZ 86305-1433 Ph: (928) 830-3124 |
| NPI Number | 1316333131 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 04/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316333131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC6504 (Arizona) | Primary |
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